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TARA LE DAVIS
NPI 1659805844
Counselor - Professional in Conway, AR

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
685 SHELBY TRL STE 105, CONWAY, AR 72034(501) 406-2232(870) 933-9395 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Apr 14, 2017 (2 updates tracked since 2017).

About Tara Le Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA LE DAVIS (NPI 1659805844) is an individual professional provider in Conway, Arkansas, licensed in Arkansas (P2008064) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conway, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1659805844
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTARA LE DAVIS
Location Address685 SHELBY TRL STE 105Conway, AR 72034-7169
Mailing Address1700 Caldwell St Apt 9Conway, AR 72034-5260 · (501) 499-9186
Phone(501) 406-2232
Fax(870) 933-9395
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 14, 2017
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1659805844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2008064
685 SHELBY TRL STE 105, Conway, AR 72034
Open in Google Maps ↗

Secondary Practice Location 1

Location 11700 Caldwell St Apt 9Conway, AR 72034-5260 · Phone (501) 548-5140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Le Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163905589
PECOS Enrollment IDI20260313002509
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY WICKLIFFE LCSW
Social Worker (Clinical)
685 SHELBY TRL STE 105
CONWAY, AR 72034
Faulkner County (501) 410-0092
MRS. GINAH BRIANNE PETTYJOHN LPC
Counselor (Professional)
685 SHELBY TRL STE 105
CONWAY, AR 72034
Faulkner County (501) 406-0504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Davis's NPI number?

The NPI number for Tara Davis is 1659805844. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Tara Davis located?

Tara Davis practices at 685 Shelby Trl Ste 105, Conway, AR 72034. The listed phone number is (501) 406-2232.

What is Tara Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tara Davis enrolled in Medicare?

Yes. Tara Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tara Davis accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Tara Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Davis was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.